QBCC Licence Application Form – Mutual Recognition (Application under section 19 of the Mutual Recognition Act 1992 (Cwlth) and section 18 of the Trans-Tasman Mutual Recognition Act 1997 (Cwlth)) Instructions
This form contains 174 fields organized into 57 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| ABN (if held) | ||
| ABN (if held) | Text |
Enter your Australian Business Number (ABN) if you have one — provide the full ABN digits (usually 11 numbers) without spaces or punctuation.
|
| Applicant Declaration Acknowledgement | ||
| I understand that by signing this form I have read and agree to the statements above | Checkbox |
Check this box after you have read the applicant declaration statements above and agree to them, and before signing the form to confirm your acknowledgement.
|
| Applicant Full Name (Photo Likeness Statement) | ||
| Applicant full name (photo likeness statement) | Text |
Enter the applicant's full legal name exactly as it should appear in the photo-likeness statement certifying the attached passport-size photos are a true likeness of the applicant. Fill only if 'NO or UNSURE — I will provide new certified passport photos' is 'Yes'.
Depends on:
NO or UNSURE — I will provide new certified passport photos
|
| Applicant Name | ||
| Family name | Text |
Enter your family or surname exactly as it appears on official identification documents.
|
| Given names | Text |
Enter all of your given and middle names in the order shown on your official identification.
|
| Applicant's full name | Text |
Enter the applicant's full name (given names and surname) exactly as it appears on identity documents or elsewhere on this application.
|
| Applicant Signature Date (DD/MM/YYYY) | ||
| Applicant Signature Date - Day (DD) | Text |
Enter the day portion of the applicant's signature date as a two-digit day (DD).
|
| Applicant Signature Date - Month (MM) | Text |
Enter the month portion of the applicant's signature date as a two-digit month (MM).
|
| Applicant Signature Date - Year (YYYY) | Text |
Enter the year portion of the applicant's signature date as a four-digit year (YYYY).
|
| Attached Copy of Current Interstate and New Zealand Licences | ||
| I have attached a copy of all my current interstate and New Zealand licences | Checkbox |
Check this box if you are attaching a copy of every interstate and New Zealand licence you currently hold to support this application.
|
| Attached Copy of Current Queensland Occupational Licences | ||
| I have attached a copy of all my current Queensland occupational licences (if applicable) | Checkbox |
Check this box if you are including an attached copy of all current Queensland occupational licences with this application.
|
| Authorised Witness Name and Type | ||
| Authorised witness name and type | Text |
Enter the authorised witness’s full name followed by their official type or qualification (for example, Justice of the Peace, Commissioner for Declarations, Notary Public, Conveyancer, etc.).
|
| Authorised Witness Signature Date (DD/MM/YYYY) | ||
| Authorised Witness Date - Day (DD) | Text |
Enter the day the authorised witness signed the form as a two-digit day value (DD).
|
| Authorised Witness Date - Month (MM) | Text |
Enter the month the authorised witness signed the form as a two-digit month value (MM).
|
| Authorised Witness Date - Year (YYYY) | Text |
Enter the year the authorised witness signed the form as a four-digit year value (YYYY).
|
| Business Address | ||
| Business street address | Text |
Enter the business's physical street address (include unit, suite or level information if applicable; do not use a PO Box).
|
| Business suburb/locality | Text |
Enter the suburb or locality for the business address.
|
| Business state/territory | Text |
Enter the state or territory where the business is located (for example QLD, NSW, VIC).
|
| Business postcode | Number |
Enter the postcode for the business address.
|
| Certified Photo Identification Provided | ||
| I have provided a valid and current certified copy of my photo identification | Checkbox |
Check this box if you have supplied a valid and current certified copy of your photo identification (e.g. driver’s licence, passport or other government-issued photo ID card).
|
| Company Business Structure (Yes/No) | ||
| Company: Yes | Checkbox |
Check this box if you intend to carry out business through a company.
|
| Company: No | Checkbox |
Check this box if you do not intend to carry out business through a company.
|
| Company Details (ACN and Company Name) | ||
| ACN | Number |
Enter the Australian Company Number (ACN) for the company. Fill only if 'Company: Yes' is 'Yes'.
Depends on:
Company: Yes
|
| Company name | Text |
Enter the company's full legal name as registered with the Australian Securities and Investments Commission (ASIC). Fill only if 'Company: Yes' is 'Yes'.
Depends on:
Company: Yes
|
| Credit Card Payment Details | ||
| Cardholder Name | Text |
Enter the full name exactly as it appears on the credit card. Fill only if 'I will pay by credit card by filling out the card details below and sending this form by post' is 'Yes'.
Depends on:
I will pay by credit card by filling out the card details below and sending this form by post
|
| Credit Card Number | Text |
Enter the full credit card number as shown on the card (omit spaces or hyphens if possible). Fill only if 'I will pay by credit card by filling out the card details below and sending this form by post' is 'Yes'.
Depends on:
I will pay by credit card by filling out the card details below and sending this form by post
|
| Expiry Month (MM) | Text |
Enter the two-digit expiration month from the card (for example, 01 for January). Fill only if 'I will pay by credit card by filling out the card details below and sending this form by post' is 'Yes'.
Depends on:
I will pay by credit card by filling out the card details below and sending this form by post
|
| Expiry Year (YY) | Text |
Enter the two-digit expiration year from the card (for example, 24 for 2024). Fill only if 'I will pay by credit card by filling out the card details below and sending this form by post' is 'Yes'.
Depends on:
I will pay by credit card by filling out the card details below and sending this form by post
|
| Total Amount | Number |
Enter the total amount to be charged for this application. Fill only if 'I will pay by credit card by filling out the card details below and sending this form by post' is 'Yes'.
Depends on:
I will pay by credit card by filling out the card details below and sending this form by post
|
| Currently licensed and registered for occupation (Yes/No) | ||
| Currently licensed and registered for occupation — Yes | Checkbox |
Check this box if you are currently licensed and registered for the occupation in the state, territory or New Zealand as per the licence details you provided in section 4.
|
| Currently licensed and registered for occupation — No | Checkbox |
Check this box if you are NOT currently licensed and registered for the occupation in the state, territory or New Zealand as per the licence details you provided in section 4.
|
| Date of Birth | ||
| Date of Birth - Day | Text |
Enter the day of your birth as a numeric day value (use two digits if possible, e.g., 05 for the fifth).
|
| Date of Birth - Month | Text |
Enter the month of your birth as a numeric month value (use two digits if possible, e.g., 08 for August).
|
| Date of Birth - Year | Text |
Enter the year of your birth as a four-digit year (e.g., 1985).
|
| Declaration Signed Location (Town/City/Suburb) | ||
| Declaration signed location (Town/City/Suburb) | Text |
Enter the name of the town, city or suburb where you signed the declaration exactly as it should appear on the form.
|
| Financial Category (Estimated Maximum Revenue Selection) | ||
| My Estimated Maximum Revenue WILL NOT exceed $200,000 for the reporting year. | Checkbox |
Check this box if your estimated maximum revenue for the reporting year will not exceed $200,000.
|
| My Estimated Maximum Revenue WILL NOT exceed $800,000 for the reporting year. | Checkbox |
Check this box if your estimated maximum revenue for the reporting year will not exceed $800,000.
|
| My Estimated Maximum Revenue WILL NOT exceed $12,000,000 for the reporting year. | Checkbox |
Check this box if your estimated maximum revenue for the reporting year will not exceed $12,000,000.
|
| My Estimated Maximum Revenue WILL exceed $12,000,000 for the reporting year. | Checkbox |
Check this box if your estimated maximum revenue for the reporting year will exceed $12,000,000.
|
| General | ||
| Enter name of cardholder, line one | Text | |
| Enter name of cardholder, line two | Text | |
| Home Address | ||
| Home address | Text |
Enter your full residential street address for your home (street number, street name and unit or apartment details if applicable).
|
| Suburb | Text |
Enter the suburb or locality for your home address.
|
| State | Text |
Enter the state or territory for your home address (e.g., QLD, NSW, VIC).
|
| Postcode | Number |
Enter the postcode for your home address.
|
| Legal Name Change (Yes/No and Previous Names Details) | ||
| Have you been known by any other 'legal' names? — Yes | Checkbox |
Check this box if you have previously been known by any other legal names; if checked you must provide full details and supporting documentation for all previous names (e.g., proof of name change, marriage certificate).
|
| Have you been known by any other 'legal' names? — No | Checkbox |
Check this box if you have never been known by any other legal names and therefore have no previous name details to provide.
|
| Legal Name Change – Previous or Other Names | Text |
Enter the full details of any other legal names you have been known by (for example full name(s), date(s) when the name(s) were used, and reason such as marriage or deed poll) and reference any supporting documentation (e.g. marriage certificate, change of name certificate). Fill only if 'Have you been known by any other 'legal' names? — Yes' is 'Yes'.
Depends on:
Have you been known by any other 'legal' names? — Yes
|
| Licence 1 (State/Territory, Licence Number, Expiry Date) | ||
| Licence 1 - NSW | Checkbox |
Check this box if your Licence 1 is a New South Wales (NSW) licence.
|
| Licence 1 - ACT | Checkbox |
Check this box if your Licence 1 is an Australian Capital Territory (ACT) licence.
|
| Licence 1 - VIC | Checkbox |
Check this box if your Licence 1 is a Victoria (VIC) licence.
|
| Licence 1 - TAS | Checkbox |
Check this box if your Licence 1 is a Tasmania (TAS) licence.
|
| Licence 1 - SA | Checkbox |
Check this box if your Licence 1 is a South Australia (SA) licence.
|
| Licence 1 - WA | Checkbox |
Check this box if your Licence 1 is a Western Australia (WA) licence.
|
| Licence 1 - NT | Checkbox |
Check this box if your Licence 1 is a Northern Territory (NT) licence.
|
| Licence 1 - NZ | Checkbox |
Check this box if your Licence 1 is a New Zealand (NZ) licence.
|
| Licence 1 — Licence Number | Text |
Enter the licence number for Licence 1 exactly as it appears on your State/Territory or New Zealand licence, including any letters, spaces or dashes. Fill only if 'Licence 1 - NSW', 'Licence 1 - ACT', 'Licence 1 - VIC', 'Licence 1 - TAS', 'Licence 1 - SA', 'Licence 1 - WA', 'Licence 1 - NT', 'Licence 1 - NZ' is 'Yes' (any).
Depends on:
Licence 1 - NSW, Licence 1 - ACT, Licence 1 - VIC, Licence 1 - TAS, Licence 1 - SA, Licence 1 - WA, Licence 1 - NT, Licence 1 - NZ
|
| Licence 1 — Expiry Day | Text |
Enter the day of the expiry date for Licence 1 (two digits, e.g. 05 for the fifth day). Fill only if 'Licence 1 - NSW', 'Licence 1 - ACT', 'Licence 1 - VIC', 'Licence 1 - TAS', 'Licence 1 - SA', 'Licence 1 - WA', 'Licence 1 - NT', 'Licence 1 - NZ' is 'Yes' (any).
Depends on:
Licence 1 - NSW, Licence 1 - ACT, Licence 1 - VIC, Licence 1 - TAS, Licence 1 - SA, Licence 1 - WA, Licence 1 - NT, Licence 1 - NZ
|
| Licence 1 — Expiry Month | Text |
Enter the month of the expiry date for Licence 1 (two digits, e.g. 04 for April). Fill only if 'Licence 1 - NSW', 'Licence 1 - ACT', 'Licence 1 - VIC', 'Licence 1 - TAS', 'Licence 1 - SA', 'Licence 1 - WA', 'Licence 1 - NT', 'Licence 1 - NZ' is 'Yes' (any).
Depends on:
Licence 1 - NSW, Licence 1 - ACT, Licence 1 - VIC, Licence 1 - TAS, Licence 1 - SA, Licence 1 - WA, Licence 1 - NT, Licence 1 - NZ
|
| Licence 1 — Expiry Year | Text |
Enter the year of the expiry date for Licence 1 as four digits (e.g. 2028). Fill only if 'Licence 1 - NSW', 'Licence 1 - ACT', 'Licence 1 - VIC', 'Licence 1 - TAS', 'Licence 1 - SA', 'Licence 1 - WA', 'Licence 1 - NT', 'Licence 1 - NZ' is 'Yes' (any).
Depends on:
Licence 1 - NSW, Licence 1 - ACT, Licence 1 - VIC, Licence 1 - TAS, Licence 1 - SA, Licence 1 - WA, Licence 1 - NT, Licence 1 - NZ
|
| Licence 2 (State/Territory, Licence Number, Expiry Date) | ||
| Licence 2 - NSW | Checkbox |
Check this box if your Licence 2 is held/issued in NSW.
|
| Licence 2 - ACT | Checkbox |
Check this box if your Licence 2 is held/issued in ACT.
|
| Licence 2 - VIC | Checkbox |
Check this box if your Licence 2 is held/issued in VIC.
|
| Licence 2 - TAS | Checkbox |
Check this box if your Licence 2 is held/issued in TAS.
|
| Licence 2 - SA | Checkbox |
Check this box if your Licence 2 is held/issued in SA.
|
| Licence 2 - WA | Checkbox |
Check this box if your Licence 2 is held/issued in WA.
|
| Licence 2 - NT | Checkbox |
Check this box if your Licence 2 is held/issued in NT.
|
| Licence 2 - NZ | Checkbox |
Check this box if your Licence 2 is held/issued in New Zealand (NZ).
|
| Licence 2 - Licence number | Text |
Enter the licence number shown on your second interstate/New Zealand licence exactly as it appears, including any letters, numbers or punctuation. Fill only if 'Licence 2 - NSW', 'Licence 2 - ACT', 'Licence 2 - VIC', 'Licence 2 - TAS', 'Licence 2 - SA', 'Licence 2 - WA', 'Licence 2 - NT', 'Licence 2 - NZ' is 'Yes' (any).
Depends on:
Licence 2 - NSW, Licence 2 - ACT, Licence 2 - VIC, Licence 2 - TAS, Licence 2 - SA, Licence 2 - WA, Licence 2 - NT, Licence 2 - NZ
|
| Licence 2 - Expiry day | Text |
Enter the day portion of the expiry date for Licence 2 (the numeric day from the licence expiry). Fill only if 'Licence 2 - NSW', 'Licence 2 - ACT', 'Licence 2 - VIC', 'Licence 2 - TAS', 'Licence 2 - SA', 'Licence 2 - WA', 'Licence 2 - NT', 'Licence 2 - NZ' is 'Yes' (any).
Depends on:
Licence 2 - NSW, Licence 2 - ACT, Licence 2 - VIC, Licence 2 - TAS, Licence 2 - SA, Licence 2 - WA, Licence 2 - NT, Licence 2 - NZ
|
| Licence 2 - Expiry month | Text |
Enter the month portion of the expiry date for Licence 2 (the numeric month from the licence expiry). Fill only if 'Licence 2 - NSW', 'Licence 2 - ACT', 'Licence 2 - VIC', 'Licence 2 - TAS', 'Licence 2 - SA', 'Licence 2 - WA', 'Licence 2 - NT', 'Licence 2 - NZ' is 'Yes' (any).
Depends on:
Licence 2 - NSW, Licence 2 - ACT, Licence 2 - VIC, Licence 2 - TAS, Licence 2 - SA, Licence 2 - WA, Licence 2 - NT, Licence 2 - NZ
|
| Licence 2 - Expiry year | Text |
Enter the year portion of the expiry date for Licence 2 (the four-digit year from the licence expiry). Fill only if 'Licence 2 - NSW', 'Licence 2 - ACT', 'Licence 2 - VIC', 'Licence 2 - TAS', 'Licence 2 - SA', 'Licence 2 - WA', 'Licence 2 - NT', 'Licence 2 - NZ' is 'Yes' (any).
Depends on:
Licence 2 - NSW, Licence 2 - ACT, Licence 2 - VIC, Licence 2 - TAS, Licence 2 - SA, Licence 2 - WA, Licence 2 - NT, Licence 2 - NZ
|
| Licence 3 (State/Territory, Licence Number, Expiry Date) | ||
| Licence 3 - NSW | Checkbox |
Check this box if your Licence 3 was issued by New South Wales (NSW).
|
| Licence 3 - ACT | Checkbox |
Check this box if your Licence 3 was issued by the Australian Capital Territory (ACT).
|
| Licence 3 - VIC | Checkbox |
Check this box if your Licence 3 was issued by Victoria (VIC).
|
| Licence 3 - TAS | Checkbox |
Check this box if your Licence 3 was issued by Tasmania (TAS).
|
| Licence 3 - SA | Checkbox |
Check this box if your Licence 3 was issued by South Australia (SA).
|
| Licence 3 - WA | Checkbox |
Check this box if your Licence 3 was issued by Western Australia (WA).
|
| Licence 3 - NT | Checkbox |
Check this box if your Licence 3 was issued by the Northern Territory (NT).
|
| Licence 3 - NZ | Checkbox |
Check this box if your Licence 3 was issued in New Zealand (NZ).
|
| Licence 3 - Licence number | Text |
Enter the licence number exactly as issued for Licence 3 by the relevant state or territory, including any letters or spaces. Fill only if 'Licence 3 - NSW', 'Licence 3 - ACT', 'Licence 3 - VIC', 'Licence 3 - TAS', 'Licence 3 - SA', 'Licence 3 - WA', 'Licence 3 - NT', 'Licence 3 - NZ' is 'Yes' (any).
Depends on:
Licence 3 - NSW, Licence 3 - ACT, Licence 3 - VIC, Licence 3 - TAS, Licence 3 - SA, Licence 3 - WA, Licence 3 - NT, Licence 3 - NZ
|
| Licence 3 - Expiry day | Text |
Enter the day (day of month) component of the expiry date for Licence 3. Fill only if 'Licence 3 - NSW', 'Licence 3 - ACT', 'Licence 3 - VIC', 'Licence 3 - TAS', 'Licence 3 - SA', 'Licence 3 - WA', 'Licence 3 - NT', 'Licence 3 - NZ' is 'Yes' (any).
Depends on:
Licence 3 - NSW, Licence 3 - ACT, Licence 3 - VIC, Licence 3 - TAS, Licence 3 - SA, Licence 3 - WA, Licence 3 - NT, Licence 3 - NZ
|
| Licence 3 - Expiry month | Text |
Enter the month component of the expiry date for Licence 3. Fill only if 'Licence 3 - NSW', 'Licence 3 - ACT', 'Licence 3 - VIC', 'Licence 3 - TAS', 'Licence 3 - SA', 'Licence 3 - WA', 'Licence 3 - NT', 'Licence 3 - NZ' is 'Yes' (any).
Depends on:
Licence 3 - NSW, Licence 3 - ACT, Licence 3 - VIC, Licence 3 - TAS, Licence 3 - SA, Licence 3 - WA, Licence 3 - NT, Licence 3 - NZ
|
| Licence 3 - Expiry year | Number |
Enter the year component of the expiry date for Licence 3. Fill only if 'Licence 3 - NSW', 'Licence 3 - ACT', 'Licence 3 - VIC', 'Licence 3 - TAS', 'Licence 3 - SA', 'Licence 3 - WA', 'Licence 3 - NT', 'Licence 3 - NZ' is 'Yes' (any).
Depends on:
Licence 3 - NSW, Licence 3 - ACT, Licence 3 - VIC, Licence 3 - TAS, Licence 3 - SA, Licence 3 - WA, Licence 3 - NT, Licence 3 - NZ
|
| Licence 4 (State/Territory, Licence Number, Expiry Date) | ||
| Licence 4 - NSW | Checkbox |
Check this box if you currently hold an active New South Wales (NSW) interstate licence and are reporting it as Licence 4.
|
| Licence 4 - ACT | Checkbox |
Check this box if you currently hold an active Australian Capital Territory (ACT) interstate licence and are reporting it as Licence 4.
|
| Licence 4 - VIC | Checkbox |
Check this box if you currently hold an active Victorian (VIC) interstate licence and are reporting it as Licence 4.
|
| Licence 4 - TAS | Checkbox |
Check this box if you currently hold an active Tasmanian (TAS) interstate licence and are reporting it as Licence 4.
|
| Licence 4 - SA | Checkbox |
Check this box if you currently hold an active South Australian (SA) interstate licence and are reporting it as Licence 4.
|
| Licence 4 - WA | Checkbox |
Check this box if you currently hold an active Western Australian (WA) interstate licence and are reporting it as Licence 4.
|
| Licence 4 - NT | Checkbox |
Check this box if you currently hold an active Northern Territory (NT) interstate licence and are reporting it as Licence 4.
|
| Licence 4 - NZ | Checkbox |
Check this box if you currently hold an active New Zealand (NZ) licence and are reporting it as Licence 4.
|
| Licence 4 - Licence number | Text |
Enter the licence number exactly as shown on your interstate or New Zealand licence for Licence 4 (may include letters and numbers). Fill only if 'Licence 4 - NSW', 'Licence 4 - ACT', 'Licence 4 - VIC', 'Licence 4 - TAS', 'Licence 4 - SA', 'Licence 4 - WA', 'Licence 4 - NT', 'Licence 4 - NZ' is 'Yes' (any).
Depends on:
Licence 4 - NSW, Licence 4 - ACT, Licence 4 - VIC, Licence 4 - TAS, Licence 4 - SA, Licence 4 - WA, Licence 4 - NT, Licence 4 - NZ
|
| Licence 4 - Expiry day | Text |
Enter the day portion of the expiry date for Licence 4 (DD). Fill only if 'Licence 4 - NSW', 'Licence 4 - ACT', 'Licence 4 - VIC', 'Licence 4 - TAS', 'Licence 4 - SA', 'Licence 4 - WA', 'Licence 4 - NT', 'Licence 4 - NZ' is 'Yes' (any).
Depends on:
Licence 4 - NSW, Licence 4 - ACT, Licence 4 - VIC, Licence 4 - TAS, Licence 4 - SA, Licence 4 - WA, Licence 4 - NT, Licence 4 - NZ
|
| Licence 4 - Expiry month | Text |
Enter the month portion of the expiry date for Licence 4 (MM). Fill only if 'Licence 4 - NSW', 'Licence 4 - ACT', 'Licence 4 - VIC', 'Licence 4 - TAS', 'Licence 4 - SA', 'Licence 4 - WA', 'Licence 4 - NT', 'Licence 4 - NZ' is 'Yes' (any).
Depends on:
Licence 4 - NSW, Licence 4 - ACT, Licence 4 - VIC, Licence 4 - TAS, Licence 4 - SA, Licence 4 - WA, Licence 4 - NT, Licence 4 - NZ
|
| Licence 4 - Expiry year | Number |
Enter the year portion of the expiry date for Licence 4. Fill only if 'Licence 4 - NSW', 'Licence 4 - ACT', 'Licence 4 - VIC', 'Licence 4 - TAS', 'Licence 4 - SA', 'Licence 4 - WA', 'Licence 4 - NT', 'Licence 4 - NZ' is 'Yes' (any).
Depends on:
Licence 4 - NSW, Licence 4 - ACT, Licence 4 - VIC, Licence 4 - TAS, Licence 4 - SA, Licence 4 - WA, Licence 4 - NT, Licence 4 - NZ
|
| Licence Certificate Request (Yes/No) | ||
| Licence certificate: Yes | Checkbox |
Check this box if you want to purchase a printed QBCC licence certificate (optional) and agree to pay the additional fee of $34.03.
|
| Licence certificate: No | Checkbox |
Check this box if you do not want to purchase a printed QBCC licence certificate and do not wish to pay the additional fee.
|
| Licence classes applying for | ||
| Licence classes applying for | Text |
Enter the classes of licence you are applying for (for example: bricklaying, carpentry, painting), listing each class separated by commas or new lines as needed.
|
| Licence/registration ever cancelled or suspended (Yes/No) | ||
| Has your licence/registration ever been cancelled or suspended? — Yes | Checkbox |
Check this box if your licence or registration has ever been cancelled or suspended in any state, territory or New Zealand as a result of criminal, civil or disciplinary action.
|
| Has your licence/registration ever been cancelled or suspended? — No | Checkbox |
Check this box if your licence or registration has never been cancelled or suspended in any state, territory or New Zealand as a result of criminal, civil or disciplinary action.
|
| Partnership Business Structure (Yes/No) | ||
| Partnerships – Yes | Checkbox |
Check this box if you intend to carry out business in partnership with an individual or company.
|
| Partnerships – No | Checkbox |
Check this box if you do not intend to carry out business in partnership with an individual or company.
|
| Payment Method Selection | ||
| I will pay by card in person at the Customer Service Centre | Checkbox |
Check this box if you will make the payment in person using a bank keycard, Mastercard or Visa at a QBCC Customer Service Centre (pay at the front counter).
|
| I will pay by credit card by filling out the card details below and sending this form by post | Checkbox |
Check this box if you will pay by credit card by completing the card details on this form and posting the form to QBCC for processing.
|
| Personally prohibited from working in occupation (Yes/No) | ||
| Personally prohibited from working in this occupation — Yes | Checkbox |
Check this box if you are personally prohibited from working in this occupation in any state, territory or New Zealand as a result of criminal, civil or disciplinary proceedings.
|
| Personally prohibited from working in this occupation — No | Checkbox |
Check this box if you are NOT personally prohibited from working in this occupation in any state, territory or New Zealand as a result of criminal, civil or disciplinary proceedings.
|
| Phone and Email | ||
| Business phone | Text |
Enter the primary business phone number where you can be contacted, including area code and country code if applicable.
|
| Home phone | Text |
Enter your residential/home phone number, including area code and country code if applicable.
|
| Mobile phone | Text |
Enter your mobile (cell) phone number where you can be reached, including country code if applicable.
|
| Email address | Text |
Enter your current email address for licence correspondence; ensure it is active and entered correctly.
|
| Place and Country of Birth | ||
| Place and Country of Birth | Text |
Enter the town/city and country where you were born (for example: Brisbane, Australia).
|
| Postal Address | ||
| Postal address | Text |
Enter the full postal/mailing address used for correspondence, including unit or street details.
|
| Postal suburb | Text |
Enter the suburb or locality for the postal address.
|
| Postal state | Text |
Enter the state or territory for the postal address (abbreviation or full name).
|
| Postal postcode | Text |
Enter the postcode (four-digit postal code) for the postal address.
|
| QBCC Existing Passport Photo Consent (Yes/No) | ||
| NO or UNSURE — I will provide new certified passport photos | Checkbox |
Check this box if the QBCC does not have a suitable passport-size photo of you, or you are unsure, and you will provide two identical certified passport-size photos (less than 6 months old) and complete the section as instructed.
|
| YES — I consent to reuse QBCC passport-size photo | Checkbox |
Check this box if the QBCC already has a passport-size photo of you that was taken within the last 10 years and you consent to reuse that photo for this application (you do not need to complete the rest of this section).
|
| QBCC Licence Details | ||
| I have never held a QBCC licence | Checkbox |
Check this box if you have never previously held a QBCC (Queensland Building and Construction Commission) licence.
|
| I currently hold or have previously held a QBCC licence and my licence number is | Checkbox |
Check this box if you currently hold or have previously held a QBCC licence (and provide your licence number in the adjacent field).
|
| QBCC licence number | Number |
Enter the QBCC licence number you currently hold or have previously held. Fill only if 'I currently hold or have previously held a QBCC licence and my licence number is' is 'Yes'.
|
| Qualified Witness Full Name | ||
| Qualified witness full name | Text |
Enter the qualified witness's full legal name as they will sign the declaration certifying the passport-size photos. Fill only if 'NO or UNSURE — I will provide new certified passport photos' is 'Yes'.
Depends on:
NO or UNSURE — I will provide new certified passport photos
|
| Qualified Witness Role (Select One) | ||
| Lawyer | Checkbox |
Check this box if the qualified witness certifying the applicant's passport-size photos is a Lawyer. Fill only if 'NO or UNSURE — I will provide new certified passport photos' is 'Yes'.
Depends on:
NO or UNSURE — I will provide new certified passport photos
|
| Justice of the Peace | Checkbox |
Check this box if the qualified witness certifying the applicant's passport-size photos is a Justice of the Peace. Fill only if 'NO or UNSURE — I will provide new certified passport photos' is 'Yes'.
Depends on:
NO or UNSURE — I will provide new certified passport photos
|
| Notary Public | Checkbox |
Check this box if the qualified witness certifying the applicant's passport-size photos is a Notary Public. Fill only if 'NO or UNSURE — I will provide new certified passport photos' is 'Yes'.
Depends on:
NO or UNSURE — I will provide new certified passport photos
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| QBCC staff member | Checkbox |
Check this box if the qualified witness certifying the applicant's passport-size photos is a QBCC staff member. Fill only if 'NO or UNSURE — I will provide new certified passport photos' is 'Yes'.
Depends on:
NO or UNSURE — I will provide new certified passport photos
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| Commissioner for Declarations | Checkbox |
Check this box if the qualified witness certifying the applicant's passport-size photos is a Commissioner for Declarations. Fill only if 'NO or UNSURE — I will provide new certified passport photos' is 'Yes'.
Depends on:
NO or UNSURE — I will provide new certified passport photos
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| Qualified Witness Signature and Date | ||
| Qualified witness signature | Text |
Provide the qualified witness's handwritten signature certifying the passport-size photos (digital signatures are not accepted). Fill only if 'NO or UNSURE — I will provide new certified passport photos' is 'Yes'.
Depends on:
NO or UNSURE — I will provide new certified passport photos
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| Signature date — day | Date |
Enter the day of the date when the qualified witness signed the declaration. Fill only if 'NO or UNSURE — I will provide new certified passport photos' is 'Yes'.
Depends on:
NO or UNSURE — I will provide new certified passport photos
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| Signature date — month | Date |
Enter the month of the date when the qualified witness signed the declaration. Fill only if 'NO or UNSURE — I will provide new certified passport photos' is 'Yes'.
Depends on:
NO or UNSURE — I will provide new certified passport photos
|
| Signature date — year | Date |
Enter the year of the date when the qualified witness signed the declaration. Fill only if 'NO or UNSURE — I will provide new certified passport photos' is 'Yes'.
Depends on:
NO or UNSURE — I will provide new certified passport photos
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| Registered Business Name (Yes/No) | ||
| Registered business name — Yes | Checkbox |
Check this box if you do have a registered business name (for example 'John Smith trading as Smith Builders'); if selected you must provide a copy of the current Business Name Extract from ASIC.
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| Registered business name — No | Checkbox |
Check this box if you do not have a registered business name.
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| Section 1 – Personal Details Checklist | ||
| Section 1 - I have provided all my personal details | Checkbox |
Check this box when you have entered your full name, phone contact number and email address on the form.
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| Section 1 - I have provided all address details | Checkbox |
Check this box when you have provided your postal, business and home addresses as required on the form.
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| Section 1 - I have provided my QBCC licence number | Checkbox |
Check this box only if you are a current or previous QBCC licence holder and have supplied your QBCC licence number.
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| Section 10 – Payment of Fees Checklist | ||
| Section 10 - 1. Reviewed application fees schedule and identified total amount payable | Checkbox |
Check this box after you have reviewed the application fees schedule and identified the total amount payable, including the fee for an optional certificate (if applicable).
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| Section 10 - 2. Filled out credit card details in full | Checkbox |
Check this box once you have completed entering your credit card details in full, including the total amount payable.
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| Section 10 - 3. Aware that the application fee is non‑refundable | Checkbox |
Check this box to confirm you understand that if your application is not successful, the application fee is non‑refundable.
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| Section 2 – Work Eligibility and Proof of Identity Checklist | ||
| Section 2 - Certified copy of current and valid photo identification | Checkbox |
Check this box if you have provided a certified copy of your current, valid photo identification.
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| Section 2 - Copy of current passport or ImmiCard (showing document number and conditions) | Checkbox |
Check this box if you are working in Australia under a current visa and have provided a copy of your current passport or ImmiCard clearly showing the document number and any relevant conditions.
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| Section 2 - Copy of current visa and other work eligibility documentation | Checkbox |
Check this box if you have provided a copy of your current visa and any additional work eligibility documents that entitle you to work in Australia.
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| Section 2 - Official proof of name change documents | Checkbox |
Check this box only if you have ever changed your legal name and have provided copies of any available official proof of name change.
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| Section 3 – Certified Passport-Size Photos Checklist | ||
| Section 3 - Item 1: I have provided two (2) colour passport-size photos | Checkbox |
Check this box when you have included two colour passport-size photos (less than 6 months old) that are signed and dated on the back by a qualified witness.
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| Section 3 - Item 2: I have attached the signed and dated photos to this form | Checkbox |
Check this box when you have affixed the signed and dated passport-size photos to the form in the box indicated using a paperclip or other secure method.
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| Section 3 - Item 3: Qualified witness has ticked witness category and signed declaration | Checkbox |
Check this box when the qualified witness has selected their witness category and has signed and dated the declaration confirming they witnessed and endorsed your photos.
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| Section 4 – Current Interstate / NZ Licences Checklist | ||
| I have provided details of all my current interstate/NZ licences. | Checkbox |
Check this box when you have listed or supplied the details (licence numbers, issuing jurisdiction, etc.) for every current interstate or New Zealand licence you hold.
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| I have attached a copy of all my current interstate/NZ licences. | Checkbox |
Check this box when you have attached clear copies of each of your current interstate or New Zealand licences to the application.
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| I have provided a copy of all my relevant occupational licences. | Checkbox |
Check this box when you have included copies of any occupational licences that are relevant to the licence you are applying for.
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| Section 5 – Entitlement to Registration/Licence Checklist | ||
| Section 5 - I have answered all the questions in this section with either a YES or NO | Checkbox |
Check this box once you have answered every question in Section 5, selecting either YES or NO for each question.
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| Section 6 – Licence Classes Checklist | ||
| Section 6 - 1: I have listed the licence classes | Checkbox |
Check this box when you have entered all licence classes you wish to apply for on the form.
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| Section 6 - 2: I have provided details of any special conditions | Checkbox |
Check this box when you have included details of any special conditions on your current interstate/NZ licences.
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| Section 7 – Business Structure Checklist | ||
| Section 7 - Current Business Name Extract provided | Checkbox |
Check this box if you have attached a copy of a Current Business Name Extract from the Australian Securities and Investments Commission (ASIC).
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| Section 7 - Signed QBCC Partner Declaration provided | Checkbox |
Check this box if you have attached a signed copy of QBCC’s Partner Declaration form that has been completed and signed by your business partner.
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| Section 7 - Partnership agreement or statutory declaration provided | Checkbox |
Check this box if you have attached a copy of the partnership agreement or included QBCC’s Statutory Declaration for Partnership Agreement.
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| Section 8 – Financial Category Checklist | ||
| Section 8 – I have ticked the relevant maximum revenue category | Checkbox |
Check this box to confirm you have selected the appropriate maximum revenue category that applies to your business based on your financial information.
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| Section 9 – Statutory Declaration Checklist | ||
| Section 9 – I have read and signed the Statutory Declaration | Checkbox |
Check this box only if you have signed the Statutory Declaration and an authorised witness has also signed it, with the witness signing occurring no more than 30 days before QBCC receives your application.
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| Special conditions on licences (details) | ||
| Special conditions on interstate/New Zealand licences (details) | Text |
Provide full details of any special conditions, restrictions, endorsements or requirements that exist on your interstate or New Zealand licences, including relevant dates, licence numbers or brief explanation of the condition. Fill only if 'Subject to any conditions for working in that occupation — Yes' is 'Yes'.
Depends on:
Subject to any conditions for working in that occupation — Yes
|
| Subject to any conditions for working in occupation (Yes/No) | ||
| Subject to any conditions for working in that occupation — Yes | Checkbox |
Check this box if you are subject to any conditions for working in the occupation as a result of criminal, civil or disciplinary proceedings in any state, territory or New Zealand.
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| Subject to any conditions for working in that occupation — No | Checkbox |
Check this box if you are not subject to any conditions for working in the occupation as a result of criminal, civil or disciplinary proceedings in any state, territory or New Zealand.
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| Subject to disciplinary proceedings or investigations (Yes/No) | ||
| Subject to disciplinary proceedings or investigations — Yes | Checkbox |
Check this box if you are currently subject to any disciplinary proceedings or investigations (including preliminary investigations) in any state, territory or New Zealand related to the occupations you are applying for.
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| Subject to disciplinary proceedings or investigations — No | Checkbox |
Check this box if you are not currently subject to any disciplinary proceedings or investigations (including preliminary investigations) in any state, territory or New Zealand related to the occupations you are applying for.
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| Title | ||
| Mr | Checkbox |
Check this box if your title is Mr.
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| Mrs | Checkbox |
Check this box if your title is Mrs.
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| Miss | Checkbox |
Check this box if your title is Miss.
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| Ms | Checkbox |
Check this box if your title is Ms.
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| Title (other) | Text |
Enter your title (e.g., Dr, Prof or any other title) when none of the provided options apply.
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| Trustee of a Trust (Yes/No) | ||
| Trustee of a trust — Yes | Checkbox |
Check this box if you are a trustee of a trust and will be acting as the licence applicant in that capacity.
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| Trustee of a trust — No | Checkbox |
Check this box if you are not a trustee of a trust and will not be acting as a trustee for the licence application.
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| Visa Holder Supporting Documents Provided | ||
| I have provided a copy of my current passport or ImmiCard | Checkbox |
Check this box when you have attached a clear copy of your current passport or ImmiCard that shows the document number. Fill only if 'I hold a current visa under the Migration Act 1958 entitling me to work in Australia.' is selected.
Depends on:
I hold a current visa under the Migration Act 1958 entitling me to work in Australia.
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| I have provided a copy of my current visa and any other work eligibility documentation | Checkbox |
Check this box when you have attached a clear copy of your current visa and any additional documentation that entitles you to work in Australia, showing the document number and any relevant conditions. Fill only if 'I hold a current visa under the Migration Act 1958 entitling me to work in Australia.' is selected.
Depends on:
I hold a current visa under the Migration Act 1958 entitling me to work in Australia.
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| Work Eligibility Status Selection | ||
| I am an Australian citizen or a permanent resident. | Checkbox |
Check this box if you are an Australian citizen or you hold permanent residency.
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| I hold a current visa under the Migration Act 1958 entitling me to work in Australia. | Checkbox |
Check this box if you currently hold a visa (under the Migration Act 1958) that legally entitles you to work in Australia.
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| I am not an Australian citizen or permanent resident, nor do I hold a current visa entitling me to work in Australia. | Checkbox |
Check this box if you are neither an Australian citizen nor a permanent resident and you do not have a current visa that entitles you to work in Australia.
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